Individual provider Active NPI

Julie A Iyer, PA

  • Physical Medicine & Rehabilitation Physician
  • Madison Heights, MI
National Provider Identifier
1740236785
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5601003841 Issued in MI
Practice address
30701 Barrington St
Madison Heights, MI 48071-5135
Phone
(248) 616-1170
Fax
(248) 589-9875
NPI assigned
May 25, 2006
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5601003841 MI Primary

Addresses

Primary practice location

30701 Barrington St
Madison Heights, MI 48071-5135

Mailing address

3535 W 13 Mile Rd
Suite 437
Royal Oak, MI 48073-6770
Phone (248) 616-1170

Other names 1

  • Julie A Shripka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060301000348 MI Practitioner - Physician Assistant 6002822939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LMT Rehabilitation Associates PCGroup PAC ID 0446265268, 30 clinicians

Practice addresses (Care Compare)

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
Phone (248) 288-2210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003841MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LMT Rehabilitation Associates CurrentSince Nov 15, 2005 Accepting new patients
LMT Rehabilitation Associates,PC CurrentSince Nov 15, 2005 Accepting new patients

Locations

30701 Barrington St
Ste 150
Madison Heights, MI 48071
Phone (248) 616-1170

3535 W 13 Mile Rd
Ste 437
Royal Oak, MI 48073
Phone (248) 288-2210

4600 Investment Dr
Ste 180
Troy, MI 48098
Phone (248) 288-2210

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1740236785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 437",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-616-1170",
            "fax_number": "248-589-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 BARRINGTON ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715135",
            "telephone_number": "248-616-1170",
            "fax_number": "248-589-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5601003841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SHRIPKA",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.